| Etowah Pediatrics, PC | Health Care and Social Assistance | $163,661 | $164,594 | 17 | $5.3M | AI Deep Dive |
| Hobden of Gadsden LLC | Retail Trade | $159,480 | $160,441 | 25 | $6.3M | AI Deep Dive |
| Chase Building Group INC | Construction | $149,067 | $150,512 | 7 | $8.0M | AI Deep Dive |
| Rusty's Offroad Products, Inc. | Manufacturing | $144,563 | $146,237 | 21 | $5.5M | AI Deep Dive |
| A-1 Exterminating Company Inc. | Administrative and Support and Waste Management | $142,673 | $143,955 | 17 | <$5M | AI Deep Dive |
| Twelfth Street Baptist Church | Other Services (except Public Administration) | $138,000 | $139,426 | 36 | N/A | AI Deep Dive |
| Cone & Smith PC | Professional, Scientific, and Technical Services | $136,267 | $137,103 | 9 | <$5M | AI Deep Dive |
| Cone & Smith, P. C. | Professional, Scientific, and Technical Services | $127,000 | $128,210 | 50 | $15.9M | AI Deep Dive |
| Local Joes Trading Post LLC | Accommodation and Food Services | $125,000 | $125,751 | 41 | $7.3M | AI Deep Dive |
| Smith & Bailey Dental LLC | Health Care and Social Assistance | $124,462 | $125,067 | 14 | <$5M | AI Deep Dive |
| Smith & Bailey Dental, LLC | Health Care and Social Assistance | $124,400 | $125,188 | 14 | <$5M | AI Deep Dive |
| American Rigging and Mechanical Service, LLC | Other Services (except Public Administration) | $124,000 | $125,185 | 8 | <$5M | AI Deep Dive |
| Chase Building Group, INC | Construction | $121,900 | $122,926 | 7 | $8.0M | AI Deep Dive |
| Trent Thrasher Construction, LLC | Construction | $121,375 | $122,009 | 19 | $21.6M | AI Deep Dive |
| Trent Thrasher Construction, LLC | Construction | $121,200 | $121,847 | 39 | $11.8M | AI Deep Dive |
| Super Bee Discount Pharmacy, INC | Retail Trade | $120,924 | $122,173 | 14 | <$5M | AI Deep Dive |
| Harris Electric, LLC | Construction | $119,500 | $120,098 | 22 | $7.2M | AI Deep Dive |
| Universal Tool INC | Wholesale Trade | $113,996 | $114,791 | 11 | <$5M | AI Deep Dive |
| Coosa Pain and Wellness, P.c. | Health Care and Social Assistance | $105,100 | $106,513 | 13 | <$5M | AI Deep Dive |
| Abson LLC | Unknown | $102,501 | $104,054 | 32 | N/A | AI Deep Dive |
| Johnson Industrial Services LLC | Manufacturing | $101,991 | $102,243 | 11 | <$5M | AI Deep Dive |
| Johnson Industrial Services LLC | Manufacturing | $101,990 | $102,367 | 9 | <$5M | AI Deep Dive |
| Quality Custom Marble & Granite LLC | Construction | $100,760 | $101,070 | 18 | $6.1M | AI Deep Dive |
| Hayes Energy Services LLC | Professional, Scientific, and Technical Services | $100,273 | $100,735 | 5 | <$5M | AI Deep Dive |
| Rainbow City Chicken, Inc. | Accommodation and Food Services | $98,588 | $99,670 | 124 | $22.0M | AI Deep Dive |